FORM 1023-EZ for BLOOMFIELD DOWNTOWN REVITALIZATIONINCORPORATED

Field Data
EIN 47-5392887
Case Number EO-2015317-000170
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLOOMFIELD DOWNTOWN REVITALIZATIONINCORPORATED
Organization’s Mailing Address 12 EAST MAIN STREET
City BLOOMFIELD
State IN
ZIP 47424
Accounting period End 12
Primary contact name JEFFREY P RETSECK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSHUA RIGGINS
CHAIRMAN
401 DOUGLAS DRIVE
BLOOMFIELD IN 47424

Officer/Director/Trustee Two

MATT MILLER
VICE CHAIRMAN
1053 S BASELINE ROAD
BLOOOMFIELD IN 47424

Officer/Director/Trustee Three

MELINDA HENDRIX
SECRETARY
740 S COUNTRY ESTATES LANE
BLOOMFIELD IN 47424

Officer/Director/Trustee Four

JEFFREY RETSECK
TREASURER
202 RIVER DRIVE
BLOOMFIELD IN 47424

Officer/Director/Trustee Five

LAURA MCINTOSH
DIRECTOR
1495 E TULIP ROAD
BLOOMFIELD IN 47424-6570

Organization’s website
Organization’s email JRETSECK@HEPN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/2/2015
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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